Revista de chirurgie, oncologie, radiologie, o. r. l., oftalmologie, stomatologie. Seria: Oftalmologie最新文献

The authors insist on the emergency state each ophthalmologist has to consider during the diagnosis of uveitis. The key symptoms are shown and the therapy of uveitis is updated.

The author describes a personal variant of the classic trabeculectomy that ensures a higher efficiency, in time, in the surgical cure of the decompensated glaucomas.

The authors present their experience in using soft contact lenses in 33 eyes with keratoconus (18 patients). Adaptation was possible only when the doctor-patient collaboration was good. Visual acuity (VA) of 0.4-1 was obtained in 85% cases versus 42.5% when glasses were used. In the period under observation no case of VA decrease was recorded. The subjects tolerated well the contact lenses. The specialty literature contains data indicating not only the optical role of the contact lenses but also their therapeutic, tectorial role.

Apart from arterial circulatory disturbances produced by organic alterations of the arterial wall, thrombi that obstruct the lumen, compression that narrows the vascular lumen, poor blood perfusion in the vessels there also exist other, frequently not recognized etiologies, i.e. the vascular functional spasm. This ignored or neglected cause should be carefully studied and an emergency treatment applied.

The present paper reports on a case of malignant melanoma of the iris masked by a relapsing iridocyclitis. The authors discuss the pathophysiological processes that may accompany the tumour.

The eye, due to its rich vascularity, is frequently involved, directly or not, in the systemic immune vascular pathology. For a better understanding of the ocular clinical syndrome, the paper discusses the etiologic and pathogenic factors, and their influence on the characteristics of chorioretinal changes. The etiologic factors are classified according to the predominance of the lesions of the choroidal or retinal vessels. The pathogeny of the chorioretinal changes is correlated with the histopathologic lesion (fibrinoid necrosis) and its involvement in the "choriocapillaris complex-brush membrane-EPR". Clinical chorioretinal syndrome, irrespective of its etiology, induces several retinal and choroidal changes having varied as a function of the evolution stage.

The present paper reports on the case of a 63 year-old woman twice operated for chronic suppurated dacryocystitis. At the third operation the lacrimal sac which was enlarged and rigid was removed. Section of the sac revealed a pinkish-grey formation that occupied the entire lumen of the sac. Histologic examination showed a poorly differentiated carcinoma with an islet-alveolar distribution. Stress is laid on the rare occurrence of primary malignant tumours of the lacrimal sac and the diagnostic difficulties in the onset period.

Pseudophakia generates a new pathology, sometimes atypically solved, insufficiently codified yet. The paper presents the experience on quite a large group of cataract-operated patients with implantation of pseudofac, in which cases of ocular hypertonia appeared.

Basal iridectomy is a pupillary bypass having a prophylactic role, when made on an eye with potential glaucoma, and a curative role when performed on an eye with primary narrow angle glaucoma in the reversible stage of the disease. The authors present their experience on 37 eyes, using Charleux-Etienne's technique that, compared with Chandler's technique is more advantageous: the limb remains intact for a possible future operation, it is simple, rapid, without risks, efficient and elegant.

The paper reports on a synthesis of an important part of ophthalmology: congenital affections of the lacrimal apparatus. The first part presents topographically the congenital lacrimal entities. The authors survey then the methods of classic and modern investigations and conclude with a synthetic presentation of the techniques of surgery.